[Cognitive-behavioural group therapy for insomnia: evaluation of the results after its implementation in a health department]

INTRODUCTION

Cognitive-behavioural therapy (CBT) is the preferred treatment in cases of chronic insomnia disorder in adults.

PATIENTS AND METHODS

Open pragmatic study of 32 patients after eight sessions of group CBT for insomnia.

RESULTS

Remission (insomnia severity index: 0-7 points) and response (insomnia severity index drops to > 8) were 31.3% and 46.9% at one month (n = 32) and 42.8% and 52.4% at one year (n = 21), respectively, with an effect size of 1.9 at one month and 2.3 at one year. At one month, 40.6% met the criteria for a case of insomnia (according to the insomnia symptoms questionnaire), and at one year, 19%, with a significant improvement in the symptoms at night and the consequences during the day. The questions of the Pittsburgh Sleep Quality Index on insomnia and sleep efficiency also improved. The pre-sleep arousal scale (n = 7) showed a shift from significant somatic and cognitive arousal to no arousal at one month. In the sleep diaries, total sleep time increased by an average of 53 minutes at one month (n = 14) and 76 minutes at one year (n = 10), with an increase of more than 10% in 71.4% of patients at one month and at one year, and an average sleep efficiency of more than 85%. The effect size for total sleep time and sleep efficiency was between 0.7 and 1.

CONCLUSIONS

Group CBT for insomnia appears to be an effective treatment option in a clinical setting.